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1 Body del Sol Medical Spa 4yr Anniversary Event Order Form One Night Only Special Pricing Name: DOB: / / Address: City: State: Zip: Phone: How did you hear about tonight s event? Have you been to one of our events before? Yes No Do you have a Brilliant Distinctions Acct? Yes No Spa Service Per Sol of 6 44% 60 min Massage min Massage min Hot Rock Massage Del Sol Facial Enzyme Image O2 Lift Chemical s Per Sol of 6 44% Image Lightening Lift Image Acne Lift Grade 1 & 2 Image Advanced Acne Grade 3 & 4 Acne Image 4 Layer Vit C Image Wrinkle Lift Image Perfection Obagi Radiance Advance Exfoliation & Micro Needling Per Sol of 6 44% OFF HydraFacial Silk Microdermabrasion DermaPen Laser Hair Removal of 6 of 9 Per Session Over 65% OFF Over 70% OFF Over 75% OFF Small Area Medium Area Large Area X-Large Area Laser Hair Removal Areas: Small Navel/Trail Upper lip Medium Back - upr Hands Large Chest X-Large Areolas Nose Abdomen Bikini Line Neck -frnt Arms-Full Legs-lwr Back Full incl Shoulders Chin SideBurns Arms - lwr Cheeks Neck- Bck Beard Legs-Upr Chest Full incl Abs Ears Toes Arms - upr Feet Shoulders Brazillian Neck-full Legs -Full Fingers Underarms Back -lwr Full Face Buttocks Back

2 Laser IPL of 5 PhotoFacial Per Session OFF % OFF Face Laser Vein Removal Per Session OFF of 5 % OFF 15 min or less min or less Xeomin & Botox ONLY $9.50 per unit!!! Cosmetic Injectables Per Unit Extended Anniversary Event Xeomin Buy 30 units (equals 7 FREE units) Buy 40 units (equals 10 FREE units) Buy 50 units (equals 12 FREE units) Botox Buy 30 units (equals 7 FREE units) Buy 40 units (equals 10 FREE units) Buy 50 units (equals 12 FREE units) Belotero Number of Syringes Anniversary Event Radiesse 1.5 Number of Syringes Per Syringe Anniversary Event Juvederm Number of Syringes Per Syringe Anniversary Event

3 Body Contouring Per Sol Treatme nt 14% Off Up to of 3 of 6 34% LA SlimWrap Per Sol Treatme nt 4% Off of 3 14% of 6 Cool Sculpt Small Area CoolSculpt Large Area Skin Care s - Revision Intellishade Original Nectifirm Intellishade Matte Teamine Eye Cream Vitamin K Serum Brightening Wash Vitamin C 30% Serum Teamine Concealer Lt Teamine Concealer Md Teamine Concealer Drk Anti-Redness Kit Skin Care s - Image Ageless Facial Ageless Resurfacing Masque Ageless Skin Lightening Serum Ageless skin Bleaching Serum Ageless Eye Lift Cream Ageless Anti Aging Serum Vital C Vital C Enzyme Masque Vital C Anti Aging Serum Vital C Intense Moisturizer Vital C Repair Vital C Eye Recovery Off

4 Ageless Repair Vital C AC E Serum Max Clear Cell Sal Gel Max Serum Clear Cell Med Acne Scrub Max Crème Clear Cell Acne Lotion Max Eye Cream Clear Cell Acne Masque Cell u Lift Firming Body Clear Cell Lotion Clarifying Tonic Face & Body Bronzer Clear Cell Sal Pads Daily Matte Ormedic Moisturizer 32spf Balancing Lip Daily tinted Moisturizer 30spf Ormedic Antioxidant Serum Ormedic BioPeptide MDRX Lightening Complex Ormedic Facial Ormedic Eye Lift Ormedic Gel Masque MDRX Complete System Skin Care s - Obagi Gentle Renova.02% Foaming Gel Tretinoin.05% Toner Tretinoin.1% Clear Refissa.05% Exoderm Pro C Serum 5% Exoderm Forte Pro C Serum 10% Blender Pro C Serum 15% Sunfader Pro C Serum 20% Sun Shield C-Clarifying N-O ElastiLash C-Clarifying N-D Elastiderm Eye Gel C-RX System N-O Elastiderm Eye Cream C-RX System N-D Hydrate System HydrateLuxe Gentle Rejuv Sys enica Complex ClenziDerm Sys N-O RosaClear System ClenziDerm Sys N-D Transformation Sys O C&E Surgical Sys Transformation Sys D C& E NonSurgical Sys

5 Skin Care s- Eminence Organic Bright Skin Neroli Eye Serum Bright Skin Moisturizer Lavender Age Correct Eye Serum Bright Skin Masque Naseberry Eye Exfoliant Bright Skin Booster Cucumber Eye Gel Bright Skin Travel Kit Raspberry Eye Masque Calm Skin Wild Plum Eye Cream Calm Skin Moisturizer Bamboo Firming Fluid Calm Skin Masque Coconut Age Correct Moisturizer Calm Skin Booster Lavender Age Correct Night Serum Calm Skin Travel Kit Coconut Firming Body Lotion Clear Skin Naseberry Body Lotion Clear Skin Moisturizer Pear & Poppy MicroPolisher Clear Skin Masque Monoi Body Cream Clear Skin Booster Monoi Face n Neck Crm Clear Skin Travel Kit Lime Refresh toner Firm Skin Neroli Retinol Toner Firm Skin Moisturizer Wild Plum Toner Firm Skin Masque Firm Skin Booster Firm Skin Travel Kit ALL PURCHASES ARE FINAL. NO REFUNDS WILL BE GIVEN. ONLY EXCHANGE OR CREDIT TOWARDS DIFFERENT PRODUCTS OR SERVICES. SERVICES PURCHASED MUST BE USED BY THE PURCHASER, NO EXCEPTIONS. ANY UNUSED SPECIAL PRICED PACAKGES WILL NO LONGER BE QUALIFIED AS SPECIAL PRICING REGULAR PRICE GOES INTO EFFECT FOR USED SERVICES ANY REMAINDER IS SUBJECT TO 25% CANCELLATION FEE ANY BALANCE IS ELIGIBLE FOR EXCHANGE OR ACCOUNT CREDIT. Cash$ CC# Credit$ VISA/DISCOVER/MASTERCARD Grand EXP DATE BILLING ZIP CVC# You may print out this form, fill it out and bring to the event. If you are unable to attend the event You may download this form, fill it out and fax to so you may take advantage of this ONE NIGHT ONLY SPECIAL PRICING. SIGNATURE Thank you

A Nationally Recognized & Award Winning Green Medical Spa

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